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Data Table

Data Notes

Notes

Full-term (37 or more weeks of gestation) for Alaska residents is based upon the obstetrical estimate of gestation at delivery (OE). [Dataset created 10/31/2017]. Region is determined by maternal residence, not site of delivery. [SAS analysis in Dec 2017]

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services

Health Indicator Definition

Definition

Percentage of cesarean deliveries among live births to maternal residents with low-risk pregnancies. A low-risk pregnancy is defined as nulliparous, full-term, singleton, and vertex-presentation (NTSV).

Numerator

Total number of cesarean deliveries among maternal residents with low-risk pregnancies for a specific time period.

Denominator

Total number of live births to maternal residents with low-risk pregnancies for a specific time period.

Health Objectives and Targets

Current Outlook

How Are We Doing?

Overall, C-sections among women with low-risk pregnancies in Alaska increased slowly from 16.4% in 1996 to 19.1% in 2016. The increase occurred in all age groups. The prevalence of C-sections among Alaska women with low-risk pregnancies rises with age. In 2016, half of the women with low-risk pregnancies who were 40 years or older had cesarean deliveries while just 1 in 10 women under the age of 20 years had C-sections.
During 2014-2016, Alaska Native women with low-risk pregnancies had the lowest prevalence of C-sections in the state (12.2%) compared to women of other races. C-sections were most common among Black women (32.2%).
Cesarean deliveries among low-risk pregnancies have increased in all 7 public health regions of Alaska since the five year period 1996-2000; the smallest percent increase occurred in the Mat-Su region (3%) while the largest occurred in Anchorage (52%). The Northern and Southwestern regions had the lowest rates of C-sections among women with low-risk pregnancies (9.5% and 8.4%, respectively) during the 5-year period, 2011-2016. Anchorage and the Southeastern region showed the highest rates during the same period of time (23.5% and 23.0%, respectively).

How Do We Compare With the U.S.?

In 2016, approximately 25.7% of women with low-risk pregnancies in the United States had cesarean deliveries compared to 19.1% of women in Alaska for the same year. In 2013, Alaska had the seventh lowest cesarean delivery rate among low-risk pregnancies in the nation (behind Utah, New Mexico, Hawaii, Idaho, South Dakota, and Colorado).^5^[[br]]
[[br]]
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{{class.SmallerFont
5. Osterman MJK, Martin JA. Trends in low-risk cesarean delivery in the United States 1990-2013. Natl Vital Stat Rep 2014;63(6):1-16.
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The information provided above is from the Alaska Department of
Health and Social Services' Center for Health Data and Statistics,
Alaska Indicator-Based Information System for Public Health (Ak-IBIS)
web site (http://ibis.dhss.alaska.gov). The information published
on this website may be reproduced without permission. Please use
the following citation:
"
Retrieved
Thu, 21 March 2019
from Alaska Department of Health and Social Services, Center for
Health Data and Statistics, Alaska Indicator-Based Information
System for Public Health web site: http://ibis.dhss.alaska.gov
".

Content updated: Wed, 7 Nov 2018 15:00:06 AKST

The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published
on this website may be reproduced without permission. Please use the following citation:
"
Retrieved
Thu, 21 March 2019 11:52:08
from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information
System for Public Health Web site: http://ibis.dhss.alaska.gov/
".